Talk:Fecal incontinence

First person speech
This article contains a lot of speech in the first person (you, yourself, etc). I have fixed some of those parts, but there is still some work missing. Rbarreira 20:00, 11 December 2005 (UTC)

I did not notice any remaining first person speech, so I removed the notice. --Driscoll 20:20, 26 August 2007 (UTC)

Dietary
The following text is deleted from the article because of tone of the refnotes and because if those belong on wikipedia at all then they belong on pages more specific to the products in question. --Una Smith (talk) 15:20, 12 January 2008 (UTC)

Fecal incontinence is also a potential side-effect of medicines that prevent the absorption of dietary fats such as Orlistat and can also be caused by eating non-digestible oils or fats such as Olestra.

Alcoholism (severe cases)
This may also lead to F. I. (well, it's an open secret). Only thing I do not get is why this article doesn't mention alcohol in any way; of course, you can read "drugs" but most people would not call alcohol a "drug." I agree that it may be included into the "drugs" group; yet for the sake of clarity and readability, alcohol ought to be mentioned separately IMHO. -andy 77.190.52.185 (talk) 00:27, 8 May 2011 (UTC)
 * evidence source? tepi (talk) 03:09, 9 October 2012 (UTC)
 * I think this might be more to do with loss of consciousness and reduced alertness than anything else... Lesion ( talk ) 11:34, 1 February 2013 (UTC)

Definition in need of reworking?
This article's definition could be interpreted as vague and imprecise. E.g. what does regular control of the bowels mean? A patient could have irregular bowels without being incontinent. Whether there is a voluntary control or not is the key factor, and we should make this clear. Rather than involuntary excretion or leaking (whats the difference?) being common features, they are the defining features imo. Some other definitions I have read of FI I feel are better:

"the inability to control feces and to expel it at a proper place and at a proper time" "the inability to prevent involuntary loss of bowel content" "recurrent uncontrolled passage of fecal material in an individual with a developmental age of at least 4 years" tepi (talk) 19:19, 1 October 2012 (UTC)

Innapropriate/misleading language regarding risk of FI with anoreceptive intercourse?
Currently the article reads: "Another study among forty anoreceptive homosexual men and ten non-anoreceptive heterosexual men found a very significant increase in fecal incontinence (fourteen, or 35% amongst the anoreceptive men, and one, or 10% in the non-anoreceptive sample) amongst the anoreceptive sample.[12]"

Upon reading the study, "This study has revealed an excess of minor anal incontinence amongst anoreceptive homosexual men. Over a third of AR subjects reported some degree of anal incontinence or urgency of defaecation."

I feel the wording "very significant" is misleading. Either something is statistically significant or it is not. Furthermore, this is a very small cohort study and therefore its findings need considered with that in mind. tepi (talk) 19:51, 2 October 2012 (UTC)


 * These 2 studies are in the false order. First is 1993. There is lower maximal pressure within AR and for all with incontinence. 1997 shows only lower standard pressure with AR, the maximum pressure is not lower. Also he looked with ultrasonic and find no demage. So he write the lower pressure is from acclimatization. (sorry for my bad englisch) --Franz (Fg68at) de:Talk 02:29, 9 October 2012 (UTC)

Apart from changing the order in which the studies are mentioned, how else to improve the wording in the article? The acclimatization refers to physiological muscular acclimatisation to anorectal manipulation or a psychological difference in the way the groups reacted to manometry? tepi (talk) 03:09, 9 October 2012 (UTC)

Existing issues...
p &#61; 0.05 (talk) 00:03, 5 November 2012 (UTC)
 * surgical options need to be covered in full
 * puborectalis sling diagram is poor, inaccurate as puborectalis is in continuity with the EAS in reality...anal canal shape is also weird...sphincters do not extend full length and not a uniform width tube.
 * the subtypes of FI termed anal incontinence and fecal leakage were originally intended to be articles intheir own right, however I felt it was best to integrate them here in the end. This has lead to some repatition in etiology and treatment...maybe needs some work?
 * is this page now too long?
 * I alerted WP:MED that this article needs their help. 108.60.139.170 (talk) 01:23, 10 November 2012 (UTC)
 * TY for help. I already checked on that project for any colorectal surgeons, unfortunately none. I will probably sort out the remainder of the issues myself soon, but any edits welcome, the list was more of an active to do list tbh. lesion (talk) 12:19, 10 November 2012 (UTC)
 * Confusion caused by the puborectalis sling diagram was raised during the PR...need new diagram? Article possibly now too long (not mentioned in PR). Apart from that, surgical options each have own section, and "types" section now merged into main sections. Ready for WP:GAN imo. lesion (talk) 23:07, 9 December 2012 (UTC)

removed primary source
I am removing this source because it is primary and not significantly contributing to the article. Please feel free to re-add this info if it can be supported with a secondary source.lesion (talk) 15:54, 17 January 2013 (UTC)
 * The randomized trial by Dehli et al. compared injectable bulking agents with sphincter training with biofeedback, and found the former to be superior. The researchers concluded that both methods lead to improvement, but comparisons of St Mark's scores between the groups showed no difference between treatments.

Types
Surely "FL generally concerns disorders of IAS function ..." should read, "FI generally concerns disorders of IAS function ...", shouldn't it? Dawright12 (talk) 17:50, 18 March 2013 (UTC)
 * FL = "fecal leakage". This is a term some researchers have started using to describe incontinence of liquid stool. Since we only use the term once or twice in the article, I will remove the FL abbreviation since it is confusing. Thanks for pointing this out. Lesion  ( talk ) 14:38, 27 March 2013 (UTC)

Colours in the diagram
It looks that the bones are green ... Why are the colours in the diagram this way? — Preceding unsigned comment added by 92.41.83.249 (talk) 19:22, 19 May 2014 (UTC)

External sphincters treatment - exercises most effective if not the only effective from www.proctoexercises.eu by John Kowalski. — Preceding unsigned comment added by 46.187.178.119 (talk) 08:19, 14 March 2015 (UTC)

Japan Paragraph
Is this really needed? Added May 2017. Consider reversal. Genehisthome (talk) 05:37, 30 May 2017 (UTC)

Anal sex or anal object insertion
Nowhere in this article I see the text "anal sex", "anal intercourse", or "homosexual". Some argue that anal penetration (by penis or sex toy) eventually causes the sphincter muscles to become weakened or inoperative: "They postulate that anal sex may simply dilate and stretch the anal sphincter muscle and eventually cause damage to the muscles themselves, and/or cause sensory nerve damage leading to loss of sphincter sensation and control". I suggest adding information to the "Causes" section on anal penetration causing fecal incompetence. --NoToleranceForIntolerance (talk) 10:42, 4 July 2017 (UTC)


 * It is addressed in the Anal canal section:

"Rare causes of traumatic injury to the anal sphincters include military or traffic accidents complicated by pelvic fractures, spine injuries or perineal lacerations, insertion of foreign bodies in the rectum, and sexual abuse.[2]"


 * --Candide124 (talk) 14:05, 11 September 2017 (UTC)

Distinguishing between anal incontinence, fecal incontinence and flatulance incontinence
Currently Anal incontinence redirects to the Fecal incontinence article. I edited the first to be its own page, see this revision, because there is an actual difference according to the source included. The revision was undone because to some AI and FI are the same. This is what the source has to say:

"Anal incontinence (AI) may be defined as any involuntary loss of stool or gas via the anus.1 Specifically, feacal incontinence (FI) is loss of stool, wheter liquid or solid."

There are subjects with flatulance incontinence without fecal incontinence. Those with flatulance incontinence will not identify themselves with fecal incontinence, therfor it is import differentiate between anal incontinence, fecal incontinence and flatulance incontinence.

Currently there is a draft for fecal body odor and I wanted to redirected 'flatulance incontinence' to this article. Maybe splitting the 'fecal body odor' and 'flatulance incontinence' articles in the future. — Preceding unsigned comment added by Candide124 (talk • contribs) 21:10, 23 August 2017 (UTC)